The publication discusses various technical, institutional, and governance aspects surrounding sanitation in PNG and identifies opportunities for government and stakeholders to make sanitation more inclusive. Recommendations are in line with ADB’s Livable Cities operational priority under Strategy 2030, and Sustainable Development Goal 6.2 to achieve access to adequate and equitable sanitation and hygiene for all and end open defecation, paying special attention to the needs of women and girls and those in vulnerable situations.